Individual
MR. WALTER WILLIAM POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8411 BROECKER BLVD, LOUISVILLE, KY 40241-6101
(502) 681-8442
Mailing address
8411 BROECKER BLVD, LOUISVILLE, KY 40241-6101
(502) 681-8442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009014
KY
183500000X
Pharmacist
RPH019346
GA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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